Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy

Autor: Charlotte C. Goldman, Christopher P. Dall, Tamir Sholklapper, Jacob Brems, Keith Kowalczyk
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Urology Case Reports, Vol 36, Iss , Pp 101598- (2021)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2021.101598
Popis: Lymphoceles are common following prostatectomy with lymph node dissection, but the vast majority are asymptomatic. We present a unique case of a large complex lymphocele tracking into the anterior space of Retzius following Retzius sparing prostatectomy and bilateral pelvic lymphadenectomy. The patient initially presented with shortness of breath and subsequent diagnosis of a submassive pulmonary embolism. Further evaluation revealed compression of the iliac vessels by the fluid collection. Following multiple failed attempts of drainage percutaneously, the patient required return to the operating room for peritoneal marsupialization, drainage of fluid collection, and evacuation of large amounts of clot within the collection.
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